person
Ian Russell
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1093575086

Ian Russell is a Student in an Organized Health Care Education/Training Program based in Glendale, AZ. Ian Russell practices in Glendale, AZ. The NPI Number for Ian Russell is 1093575086 and holds a License No. (Arizona).

The current practice location address for Ian Russell is 19555 N 59Th Ave, Glendale, AZ and can be reached out via phone at 623-572-3200.

Location: 19555 N 59Th Ave, Glendale, AZ, 85308-6813
person
Provider Profile Details
NPI Number
1093575086
Provider Name
Ian Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
19555 N 59Th Ave, Glendale, AZ, 85308-6813
Phone Number
623-572-3200
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
19555 N 59Th Ave
City
State
Zip
85308-6813
Phone Number
623-572-3200
Fax Number
person
Provider Business Mailing Address Details
Address
19555 N 59Th Ave
City
State
Zip
85308-6813
Phone Number
623-572-3200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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